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Total Hip Arthroplasty around the Inception of the Interface Bioactive Bone Cement Technique

BACKGROUND: To augment cement-bone fixation, Dr. Hironobu Oonishi attempted additional physicochemical bonding through interposition of osteoconductive crystal hydroxyapatite (HA) granules at the cement-bone interface in 1982. He first used the interface bioactive bone cement (IBBC) technique in 12...

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Autores principales: Oonishi, Hiroyuki, Ohashi, Hirotsugu, Kawahara, Ikuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Orthopaedic Association 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4987305/
https://www.ncbi.nlm.nih.gov/pubmed/27583104
http://dx.doi.org/10.4055/cios.2016.8.3.237
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author Oonishi, Hiroyuki
Ohashi, Hirotsugu
Kawahara, Ikuo
author_facet Oonishi, Hiroyuki
Ohashi, Hirotsugu
Kawahara, Ikuo
author_sort Oonishi, Hiroyuki
collection PubMed
description BACKGROUND: To augment cement-bone fixation, Dr. Hironobu Oonishi attempted additional physicochemical bonding through interposition of osteoconductive crystal hydroxyapatite (HA) granules at the cement-bone interface in 1982. He first used the interface bioactive bone cement (IBBC) technique in 12 selected patients (12 hips) in 1982 (first stage) and followed them for 2 years. In 1985, the technique was applied in 25 total hip arthroplasty (THA) patients (second stage) and the effects were investigated by comparing the side with the IBBC technique and the other side without the IBBC technique. He has employed this technique in all THA patients since 1987 (third stage). METHODS: In the IBBC technique, HA granules (2 to 3 g) were smeared on the bone surface just before the acetabular and femoral components were cemented. In the first stage, 12 hips were operated using the IBBC technique in 1982. In the second stage, THA was performed without the IBBC technique on one side and with the IBBC technique on the other side within 1 year in 25 patients. In the third stage, THA was performed with the IBBC technique in 285 hips in 1987. RESULTS: In the first stage patients, implant loosening was not detected at 30 years after operation. In the second stage patients, revision was required in 7 hips without the IBBC technique due to cup loosening (5 hips) and stem loosening (2 hips), whereas no hip was revised after THA with the IBBC technique at 26 years after operation. In the third stage patients, the incidence of radiolucent lines and osteolysis was very few at 25 years after operation. CONCLUSIONS: The long-term follow-up of THA performed around the inception of the IBBC technique has revealed low incidences of radiolucent lines, osteolysis, and revision surgery.
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spelling pubmed-49873052016-09-01 Total Hip Arthroplasty around the Inception of the Interface Bioactive Bone Cement Technique Oonishi, Hiroyuki Ohashi, Hirotsugu Kawahara, Ikuo Clin Orthop Surg Review Article BACKGROUND: To augment cement-bone fixation, Dr. Hironobu Oonishi attempted additional physicochemical bonding through interposition of osteoconductive crystal hydroxyapatite (HA) granules at the cement-bone interface in 1982. He first used the interface bioactive bone cement (IBBC) technique in 12 selected patients (12 hips) in 1982 (first stage) and followed them for 2 years. In 1985, the technique was applied in 25 total hip arthroplasty (THA) patients (second stage) and the effects were investigated by comparing the side with the IBBC technique and the other side without the IBBC technique. He has employed this technique in all THA patients since 1987 (third stage). METHODS: In the IBBC technique, HA granules (2 to 3 g) were smeared on the bone surface just before the acetabular and femoral components were cemented. In the first stage, 12 hips were operated using the IBBC technique in 1982. In the second stage, THA was performed without the IBBC technique on one side and with the IBBC technique on the other side within 1 year in 25 patients. In the third stage, THA was performed with the IBBC technique in 285 hips in 1987. RESULTS: In the first stage patients, implant loosening was not detected at 30 years after operation. In the second stage patients, revision was required in 7 hips without the IBBC technique due to cup loosening (5 hips) and stem loosening (2 hips), whereas no hip was revised after THA with the IBBC technique at 26 years after operation. In the third stage patients, the incidence of radiolucent lines and osteolysis was very few at 25 years after operation. CONCLUSIONS: The long-term follow-up of THA performed around the inception of the IBBC technique has revealed low incidences of radiolucent lines, osteolysis, and revision surgery. The Korean Orthopaedic Association 2016-09 2016-08-10 /pmc/articles/PMC4987305/ /pubmed/27583104 http://dx.doi.org/10.4055/cios.2016.8.3.237 Text en Copyright © 2016 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Oonishi, Hiroyuki
Ohashi, Hirotsugu
Kawahara, Ikuo
Total Hip Arthroplasty around the Inception of the Interface Bioactive Bone Cement Technique
title Total Hip Arthroplasty around the Inception of the Interface Bioactive Bone Cement Technique
title_full Total Hip Arthroplasty around the Inception of the Interface Bioactive Bone Cement Technique
title_fullStr Total Hip Arthroplasty around the Inception of the Interface Bioactive Bone Cement Technique
title_full_unstemmed Total Hip Arthroplasty around the Inception of the Interface Bioactive Bone Cement Technique
title_short Total Hip Arthroplasty around the Inception of the Interface Bioactive Bone Cement Technique
title_sort total hip arthroplasty around the inception of the interface bioactive bone cement technique
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4987305/
https://www.ncbi.nlm.nih.gov/pubmed/27583104
http://dx.doi.org/10.4055/cios.2016.8.3.237
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